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NPI Code Detail

MEDICARE: AUTUMN RENEE COLLINGS LMFT, LPC, LCDC

MEDICARE: AUTUMN RENEE COLLINGS LMFT, LPC, LCDC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor13411TX
2106H00000XMarriage & Family Therapist202991TX
3101YP2500XProfessional Counselor79251TX

General Provider Information

NPI Number : 1619540721
Entity Type Code : Individual
Provider Name (Legal Business Name) : AUTUMN RENEE COLLINGS LMFT, LPC, LCDC
Provider Business Mailing Address
First Line : 2701 SHORELINE DR STE 151
Second Line :
City : DENTON
State : TX
Zip : 76210-0176
Country : US
Telephone Number : 940-222-2399
Fax Number :
Provider Business Practice Location Address
First Line : 2701 SHORELINE DR STE 151
Second Line :
City : DENTON
State : TX
Zip : 76210-0176
Country : US
Telephone Number : 940-222-2399
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2021
Last Update Date : 07/19/2021

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Directions to “ AUTUMN RENEE COLLINGS LMFT, LPC, LCDC” Practice Location

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